Order Information -
Select the items and quantity you would like!
Item 1 Quantity
Item 2 Quantity
Item 3 Quantity
Item 4 Quantity
Item 5 Quantity
Item 6 Quantity
Item 7 Quantity
Item 8 Quantity
Item 9 Quantity
Item 10 Quantity
K. I want to create my own gift basket!

(Type in the names or Item #'s of the products you would like in your Gift Basket below.)
    Please add the Price of the Basket below
    to your Custom Gift Basket Order.
  • Cost of 2-3 items of your choice plus $8.50 for the basket.
  • Cost of 4-5 items of your choice plus $12.00 for the basket.
  • Cost of 6-8 items of your choice plus $15.00 for the basket.

    Larger baskets will be calculated on an individual basis.

Billing Information:
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Phone:
Fax:
*E-mail:
Ship To:
First Name:
Last Name:
Address:
City:
State:
Zip:

* means this field is required.

Payment Information:
*Card Type: Visa MasterCard American Express Discover
*Name on Card:
*Card Number:
*Expiration Date (mm/yy):

Shipping & Handling per address:
For Orders Totaling: Add:
Less then $10.00 $6.50
$10.00 - 19.99 $8.50
$20.00 - 29.99 $9.50
$30.00 - 39.99 $10.50
$40.00 - 49.99 $12.00
$50.00 - 59.99 $14.00
$60.00 - 69.99 $15.50
$70.00 - 79.99 $17.00
$80.00 - 100.00 $20.00
OVER $100.00 add 25% of purchase price.
Additional charges will be applied for shipments outside of the 48 continental UNITED STATES.

Send a short message!:



   


Thanks a bunch for your order... your enjoyment is guaranteed!


 

Carol Hall's Hot Pepper Jelly Company
330 North Main Street
Fort Bragg, CA 95437

Toll Free: 866-737-7379
Telephone: 707-961-1899
Fax: 707-961-0879
Ask for Lori, Tina or Carol.

E-mail: hall@mcn.org
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You may contact us and place orders by telephone, fax or order online by clicking now! If you place an order by phone or fax, please mention you saw the number on this web site.

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